Psychosocial, cultural, and accessibility factors associated with participation of African-Americans in rehabilitation.

Asbury, Charles A.; Walker, Sylvia; Belgrave, Faye Z.; Maholmes, Valerie; al., et

doi:10.1037/0090-5550.39.2.113

Cited by 7 publications

(11 citation statements)

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“…African Americans exhibited less positive treatment outcomes despite ethnic matching. In a study of services, Asbury et al, (1994) found that racial similarity and perceptions of the service process affected continued participation in therapy. Maramba and Hall (2002) completed a metaanalysis of ethnic match.…”

mentioning

confidence: 99%

Therapists' race and African American clients' reactions to therapy.

Thompson¹,

Alexander²

2006

Psychotherapy: Theory, Research, Practice, Training

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This study examines the posttherapy reactions and attitudes of 44 African American clients seen at a university clinic in a midwestern city. Clients were randomly assigned to European American or African American therapists for 10 sessions of interpersonal or problem solving therapy. Therapy attitudes and reactions were assessed through clients' ratings of how well they understood and accepted the goals of therapy, their ability to accept and make use of therapeutic interventions, and perceptions of therapeutic benefit. The impact of European American therapists' efforts to cope with racial differences through therapist-initiated discussion of race in the first session or no therapist-initiated discussion of race were examined. African American clients' ratings of therapy indicated that there was a relationship between therapists' race and the understanding and acceptance of therapeutic interventions and perceived benefit of therapy. Clients rated therapeutic understanding and acceptance higher when assigned to an African American therapist. Therapists' initiation of or noninitiation of discussions of race had no affect on ratings of therapy. The clinical implications of these findings and suggestions for future research are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved).

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confidence: 99%

Therapists' race and African American clients' reactions to therapy.

Thompson¹,

Alexander²

2006

Psychotherapy: Theory, Research, Practice, Training

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“…It is essential to invite all clients to reflect on their cultural identities and how those identities may influence the therapeutic relationship (Day-Vines et al, 2007). Therapists cannot be prepared with all requisite knowledge, but they can work to extend their knowledge beyond their own experiences and identities (Asbury et al, 1994; Kohn-Wood & Hooper, 2014; Thompson et al, 2004). Initial training and continuing education for therapists can foster development of cultural competence by addressing therapist values, beliefs, and identities.…”

Section: Discussionmentioning

confidence: 99%

“…Inevitably, though, there are not enough therapists available in all areas to allow for this type of selective matching. Therefore, finding a therapist with similar attitudes toward treatment and culturally appropriate strategies is essential for earning client trust (Asbury, Walker, Belgrave, Maholmes, & Green, 1994; Kohn-Wood & Hooper, 2014; Thompson et al, 2004).…”

Section: Barriers To Treatmentmentioning

confidence: 99%

Black Caribbean Immigrants: A Qualitative Study of Experiences in Mental Health Therapy

Venner¹,

Welfare

2019

Journal of Black Psychology

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Black Caribbeans seeking mental health treatment in the United States may be mistakenly identified as African American because of their shared skin tone and features. This racial consolidation does not take into account their distinct histories, immigrant experiences, and cultural separateness and may be particularly problematic in therapy. We explored the mental health therapy experiences of eight Black Caribbeans in the United States in this phenomenological qualitative study. We highlight themes that bring to life the client experiences and reveal if and how the counselors addressed the client’s cultural distinctiveness. Implications for mental health counselors include the importance of respectful inquisitiveness about cultural identities and immigration experiences and the importance of inviting Black Caribbean clients by mentioning knowledge of Caribbean cultures in one’s practice information.

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“…The counselor's race or ethnicity has been identified as a factor that contributes to the underutilization of counseling services by African Americans (Asbury, Walker, Belgrave, Maholmes, & Green, ; Okonji, Ososkie, & Pulos, ; Thompson et al, ). For example, Asbury et al () conducted discriminant analyses and found that racial similarity, perceptions of the therapist's competence, and perceptions of the service process determined clients’ ongoing participation in therapy. Terrell and Terrell () noted that African Americans who rated high in mistrust of their therapist were more likely to terminate counseling prematurely.…”

Section: Professional Counseling Ethics and Racementioning

confidence: 99%